Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle Wyman, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1265912299

Kyle Wyman, LCSW is an Addiction (Substance Use Disorder) Counselor in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2018.

Licensed in
PA
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3900 Woodland Ave
Philadelphia, PA 19104-4551
Phone: (215) 594-1445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW022109 (PA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1265912299
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 20, 2018
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

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